spina bifida Flashcards

1
Q

a spinal cord malformation is what

A

spina bifida

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2
Q

what are the classification of spina bifida

A

spina bifida occulta ..hairy patch
opened posterior vertebral body

meningocele…protrusion of the menings
myelomingocele….protrusion and opened spinal cord

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3
Q

spina bifida occulta classifications

A

depending on the degree of neural involvement
asymptomatic
urinary system
diagnosis is made after an x-ray

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4
Q

facts about the meningocele

A

its rare
theres a herniation
mild disability

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5
Q

what is the most common type of spina bifida

A

myelomeningocele

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6
Q

the neural tube extends from where to where

A

brain to the spinal cord

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7
Q

the neural tube develops from where

A

neural layer early in the embryonic development

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8
Q

what are neural tube defects

A

these are malformations that occur during the opening and the closing of the neural tube

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9
Q

factors that can cause spina bifida

A

maternal stress
diabetes in pregnancy
maternal obesity
Fever in the first trimester
Family history

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10
Q

what is seen in 80 perc of people born with myelomeningocele

A

hydrocephalus

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11
Q

neurological symptoms seen in hydrocephalus

A

flask paralysis
lost tendon reflex
bowel and bladder incontinence
Muscle weakness

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12
Q

what can hydrocephalus be correceted with

A

shunt surgery

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13
Q

why do people with spina bifida have walking prob

A

muscle imbalance
foot defeormities
knee deformities
spine deformities
spastic lower extremity muscles

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14
Q

in which pediatric disorder is the cocktail parry syndrome seen in

A

spina bifida

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15
Q

at what region is the hip instability still problematic

A

lower lumber region

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16
Q

what are the probs seen in the evaluation of the sacral region

A

hip extensor and abductor paralysis
pes cavus

17
Q

some aim of physiotherapy for the spina bifida

A

increase proprioception
develop physical activities
gain independent mobility
preven deformities
prevent contracture

18
Q

two things to be done by the physiotherapsists in the neonatal region

A

passive movements and stretching ex for muscle length and rom

positioning to improve and maintain normal posture

19
Q

what are the common deformities in the neonatal period

A

talipes equinovarus or TEV
congenital hip dislocation

20
Q

what is the treatment for the child in the neonatal period of spina bifida

A

varus and equine postion should be treated by bringing the foor to eversion and dorsiflexion with plaster splinting

21
Q

why is abduction splints not required in theneonatal period

A

they will cause abduction contractures

22
Q

things that are really important in the neonatal period

A

Passive exercises, stretching exercises, positioning, skin care and
family education

23
Q

important things in the pt for preschool

A

home arrangements
passive exercise and stretching exercise
active arm and upper extremity movements
family education

24
Q

what month does children with spina bifida start to stand

A

18-24 months

25
Q

a device used to aid ambulation and standing in spina bifida is

A

KAFO

26
Q

In what disorder is windswepthip seen in the preschool period

A

spina bifida

27
Q

what is the windswept hip

A

one hip is adducted the other is abducted due to prolonged sitting

28
Q

the most important problems in the adolescent period is

A

social and emotional prob
socail isolation and obesity

29
Q

In uncontrollable hydrocephalus is children what happens to the neurological symptoms
Mental and motor

A

Becomes indefinite
Ment and motor becomes retarded